| NPI | 1134315906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ELIZABETH HORWOOD Nurse Practitioner 734-615-9229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 4704164830) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2007-09-14 |